Clinical features and treatment of COVID-19 patients in northeast Chongqing

© 2020 Wiley Periodicals, Inc..

The outbreak of the novel coronavirus in China (SARS-CoV-2) that began in December 2019 presents a significant and urgent threat to global health. This study was conducted to provide the international community with a deeper understanding of this new infectious disease. Epidemiological, clinical features, laboratory findings, radiological characteristics, treatment, and clinical outcomes of 135 patients in northeast Chongqing were collected and analyzed in this study. A total of 135 hospitalized patients with COVID-19 were enrolled. The median age was 47 years (interquartile range, 36-55), and there was no significant gender difference (53.3% men). The majority of patients had contact with people from the Wuhan area. Forty-three (31.9%) patients had underlying disease, primarily hypertension (13 [9.6%]), diabetes (12 [8.9%]), cardiovascular disease (7 [5.2%]), and malignancy (4 [3.0%]). Common symptoms included fever (120 [88.9%]), cough (102 [76.5%]), and fatigue (44 [32.5%]). Chest computed tomography scans showed bilateral patchy shadows or ground glass opacity in the lungs of all the patients. All patients received antiviral therapy (135 [100%]) (Kaletra and interferon were both used), antibacterial therapy (59 [43.7%]), and corticosteroids (36 [26.7%]). In addition, many patients received traditional Chinese medicine (TCM) (124 [91.8%]). It is suggested that patients should receive Kaletra early and should be treated by a combination of Western and Chinese medicines. Compared to the mild cases, the severe ones had lower lymphocyte counts and higher plasma levels of Pt, APTT, d-dimer, lactate dehydrogenase, PCT, ALB, C-reactive protein, and aspartate aminotransferase. This study demonstrates the clinic features and therapies of 135 COVID-19 patients. Kaletra and TCM played an important role in the treatment of the viral pneumonia. Further studies are required to explore the role of Kaletra and TCM in the treatment of COVID-19.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:92

Enthalten in:

Journal of medical virology - 92(2020), 7 vom: 30. Juli, Seite 797-806

Sprache:

Englisch

Beteiligte Personen:

Wan, Suxin [VerfasserIn]
Xiang, Yi [VerfasserIn]
Fang, Wei [VerfasserIn]
Zheng, Yu [VerfasserIn]
Li, Boqun [VerfasserIn]
Hu, Yanjun [VerfasserIn]
Lang, Chunhui [VerfasserIn]
Huang, Daoqiu [VerfasserIn]
Sun, Qiuyan [VerfasserIn]
Xiong, Yan [VerfasserIn]
Huang, Xia [VerfasserIn]
Lv, Jinglong [VerfasserIn]
Luo, Yaling [VerfasserIn]
Shen, Li [VerfasserIn]
Yang, Haoran [VerfasserIn]
Huang, Gu [VerfasserIn]
Yang, Ruishan [VerfasserIn]

Links:

Volltext

Themen:

2494G1JF75
9008-11-1
Adrenal Cortex Hormones
Anti-Bacterial Agents
Antiviral Agents
Biomarkers
COVID-19
Clinical features
Cognition
Drug Combinations
Drugs, Chinese Herbal
Interferons
Journal Article
Lopinavir
Lopinavir-ritonavir drug combination
Northeast Chongqing
O3J8G9O825
Research Support, Non-U.S. Gov't
Ritonavir
Treatment

Anmerkungen:

Date Completed 24.06.2020

Date Revised 18.12.2020

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/jmv.25783

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM307851117